Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (right eye)
ICD-10 E10.3391 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (right eye).
E10.3391 refers to a specific condition in which a patient has Type 1 diabetes mellitus accompanied by moderate nonproliferative diabetic retinopathy (NPDR) affecting the right eye, without the presence of macular edema. Type 1 diabetes is characterized by the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. Diabetic retinopathy is a common complication of diabetes, resulting from chronic hyperglycemia and subsequent damage to the retinal blood vessels. Moderate NPDR is identified by the presence of microaneurysms, retinal hemorrhages, and exudates, but without the more severe changes associated with proliferative diabetic retinopathy or macular edema. Management of this condition typically involves strict glycemic control, regular ophthalmologic examinations, and possibly the use of insulin therapy to maintain optimal blood glucose levels. The absence of macular edema indicates a less severe form of retinopathy, which may allow for a better prognosis if managed appropriately.
Comprehensive documentation of diabetes management, including HbA1c levels, insulin regimen, and complications.
Patients presenting with uncontrolled diabetes, requiring insulin adjustments, or experiencing complications.
Ensure that all diabetes-related complications are documented and linked to the primary diagnosis.
Detailed retinal examination findings, including the presence and severity of diabetic retinopathy.
Routine eye exams for diabetic patients, management of retinopathy, and treatment planning.
Documentation must clearly indicate the type of retinopathy and any interventions performed.
Used during routine eye exams for diabetic patients to assess retinopathy.
Document findings of the eye exam, including retinopathy severity.
Ophthalmologists should ensure that the examination details are comprehensive and linked to the diagnosis.
Specifying the affected eye is crucial for accurate diagnosis and treatment planning, as it impacts management strategies and potential interventions.
Patients should have regular eye examinations, typically annually, or more frequently if retinopathy progresses or if diabetes management is suboptimal.
